Individual
TANISHA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
498 TUSCAN AVE, WILLIAM CAREY UNIVERSITY-COM BOX 197, HATTIESBURG, MS 39401-5461
(601) 318-6749
(601) 318-6032
Mailing address
498 TUSCAN AVE, WILLIAM CAREY UNIVERSITY-COM BOX 207, HATTIESBURG, MS 39401-5461
(601) 318-6749
(601) 318-6032
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
0102202723
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0102202723
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
OT012229
PA
Other
Enumeration date
03/22/2009
Last updated
08/28/2013
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